Provider Demographics
NPI:1780478800
Name:JOHNSON, ESSENCE LAMAR (RN, QMHP)
Entity type:Individual
Prefix:
First Name:ESSENCE
Middle Name:LAMAR
Last Name:JOHNSON
Suffix:
Gender:
Credentials:RN, QMHP
Other - Prefix:
Other - First Name:ESSENCE
Other - Middle Name:LAMAR
Other - Last Name:JOHNSON-KNIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:837 GREYSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-5729
Mailing Address - Country:US
Mailing Address - Phone:804-971-8039
Mailing Address - Fax:804-971-8039
Practice Address - Street 1:837 GREYSHIRE DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-5729
Practice Address - Country:US
Practice Address - Phone:804-971-8039
Practice Address - Fax:804-971-8039
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0732011032101YM0800X
VA0001233393163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult